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病例报告:一种与神经发育障碍、视网膜脱离、多指畸形相关的CTNNB1无义突变

Case Report: A CTNNB1 Nonsense Mutation Associated With Neurodevelopmental Disorder, Retinal Detachment, Polydactyly.

作者信息

Ke Zhongling, Chen Yanhui

机构信息

Department of Pediatrics, Fujian Medical University Union Hospital, Fuzhou, China.

出版信息

Front Pediatr. 2020 Dec 11;8:575673. doi: 10.3389/fped.2020.575673. eCollection 2020.

Abstract

gene mutation was firstly reported related to intellectual disability in 2012, to explore the clinical phenotype and genotype characteristics of mutation, we collected and analyzed the clinical data of a child with a neurodevelopmental disorder caused by a mutation of . The child had dysmorphic features, microcephaly, hypotonia, polydactyly, retinal detachment, and neurodevelopmental disorder, with a mutation of c.1603C > T, p.R535X. The patient was diagnosed as Neurodevelopmental disorder with spastic diplegia and visual defects (NEDSDV) and was given rehabilitation training. After 4 months of rehabilitation training, she improved in gross motor function. We found that mutation can cause neurodevelopmental disorder, which could be accompanied by retinal detachment and polydactyly. The retinal detachment had only been reported in two Asian patients, and we firstly reported the phenotype of polydactyly in the mutation. This report not only helps to expand the clinical phenotype spectrum of the gene mutation but also prompts a new insight into genetic diagnosis in patients with a neurodevelopmental disorder, retinal detachment, and polydactyly.

摘要

基因突变于2012年首次被报道与智力残疾有关,为探究该突变的临床表型和基因型特征,我们收集并分析了一名由[具体基因名称]突变引起神经发育障碍儿童的临床资料。该患儿有畸形特征、小头畸形、肌张力减退、多指畸形、视网膜脱离及神经发育障碍,存在[具体基因名称] c.1603C>T、p.R535X突变。该患者被诊断为伴有痉挛性双瘫和视觉缺陷的神经发育障碍(NEDSDV)并接受了康复训练。经过4个月的康复训练,她的粗大运动功能有所改善。我们发现[具体基因名称]突变可导致神经发育障碍,可能伴有视网膜脱离和多指畸形。视网膜脱离仅在两名亚洲患者中被报道过,我们首次报道了[具体基因名称]突变中多指畸形的表型。本报告不仅有助于扩大[具体基因名称]基因突变的临床表型谱,也为神经发育障碍、视网膜脱离和多指畸形患者的基因诊断提供了新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6389/7793974/f514ec902ccc/fped-08-575673-g0001.jpg

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